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General NPI Number Information
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NPI Number | 1629272208
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Entity Type | Individual
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Provider Name | NISCHITA MERLA MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1330 SAN BERNARDINO RD STE L
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City | UPLAND
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State | CA
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Zip | 91786-4980
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Country | US
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Telephone | 909-833-7556
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Fax | 909-833-9226
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Provider Business Mailing Address
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Address Line | 1330 SAN BERNARDINO RD STE L
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City | UPLAND
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State | CA
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Zip | 91786-4980
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Country | US
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Telephone | 909-833-7556
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Fax | 909-833-9226
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP2-0029547
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | N4029
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A119042
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License Number State | CA
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